Individual
TARA HUTCHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
846 CAMPBELL AVE SW, ROANOKE, VA 24016-3536
(540) 344-6411
Mailing address
1621 MAIDEN LN SW, ROANOKE, VA 24015-4909
(540) 312-6786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007169
VA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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